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Use of McGrath Videolaryngoscope to Assist Transesophageal Echocardiography Probe Insertion in Intubated Patients

NCT ID: NCT02634047

Last Updated: 2015-12-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-30

Study Completion Date

2015-11-30

Brief Summary

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The primary aim of this study is to investigate the difference in the first attempt and overall success rate of different techniques for insertion of transesophageal echocardiography. Secondary aim is to investigate the difference of the duration of insertion using the selected technique, complications during insertion such as oropharyngeal mucosal injury and hematoma.

Detailed Description

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Eighty adult patients, who received general anaesthesia for elective open heart surgeries that required transesophageal echocardiography insertion, will be randomized by means of a computer-generated randomization order into two groups: Conventional group (Group C), and videolaryngoscope group (group VL).

Success rate of the selected technique (first attempt and overall), duration of insertion for selected technique, complications such as oropharyngeal mucosal injury and hematoma will be noted.

Conditions

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Other Complications of Surgical and Medical Procedures

Keywords

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transesophageal echocardiography videolaryngoscope oropharyngeal injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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conventional technique

transesophageal echocardiography probe was inserted using a traditional blind insertion technique.

Group Type ACTIVE_COMPARATOR

conventional technique

Intervention Type DEVICE

transesophageal echocardiography probe was inserted using a traditional blind insertion technique.

videolaryngoscope technique

transesophageal echocardiography probe was advanced into esophagus under direct vision using videolaryngoscope

Group Type EXPERIMENTAL

videolaryngoscope technique

Intervention Type DEVICE

transesophageal echocardiography probe was advanced into esophagus under direct vision using videolaryngoscope

Interventions

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conventional technique

transesophageal echocardiography probe was inserted using a traditional blind insertion technique.

Intervention Type DEVICE

videolaryngoscope technique

transesophageal echocardiography probe was advanced into esophagus under direct vision using videolaryngoscope

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients who received general anaesthesia for open heart surgeries that required transesophageal echocardiography probe insertion

Exclusion Criteria

* patients younger than 18 years and older than 70 years
* oropharengeal infection
* esophageal injury and anatomic abnormalities
* known or predicted difficult airway
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Antalya Training and Research Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nılgun Kavrut Ozturk, MD

Role: STUDY_DIRECTOR

Antalya Training and Research Hospital

Locations

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Antalya Training and Research Hospital, Department of Anesthesiology and Reanimation

Antalya, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Chang JE, Min SW, Kim CS, Lee JM, No H, Hwang JY. Effect of Jaw Thrust on Transesophageal Echocardiography Probe Insertion and Concomitant Oropharyngeal Injury. J Cardiothorac Vasc Anesth. 2015 Oct;29(5):1266-71. doi: 10.1053/j.jvca.2015.02.003. Epub 2015 Feb 7.

Reference Type BACKGROUND
PMID: 25976603 (View on PubMed)

Na S, Kim CS, Kim JY, Cho JS, Kim KJ. Rigid laryngoscope-assisted insertion of transesophageal echocardiography probe reduces oropharyngeal mucosal injury in anesthetized patients. Anesthesiology. 2009 Jan;110(1):38-40. doi: 10.1097/ALN.0b013e318190b56e.

Reference Type BACKGROUND
PMID: 19104168 (View on PubMed)

Aviv JE, Di Tullio MR, Homma S, Storper IS, Zschommler A, Ma G, Petkova E, Murphy M, Desloge R, Shaw G, Benjamin S, Corwin S. Hypopharyngeal perforation near-miss during transesophageal echocardiography. Laryngoscope. 2004 May;114(5):821-6. doi: 10.1097/00005537-200405000-00006.

Reference Type BACKGROUND
PMID: 15126737 (View on PubMed)

Hirabayashi Y, Okada O, Seo N. Airtraq laryngoscope for the insertion of a transesophageal echocardiography probe. J Cardiothorac Vasc Anesth. 2008 Apr;22(2):331-2. doi: 10.1053/j.jvca.2007.06.012. Epub 2007 Aug 22. No abstract available.

Reference Type BACKGROUND
PMID: 18375345 (View on PubMed)

Hirabayashi Y. GlideScope-assisted insertion of a transesophageal echocardiography probe. J Cardiothorac Vasc Anesth. 2007 Aug;21(4):628. doi: 10.1053/j.jvca.2006.11.015. Epub 2007 Feb 22. No abstract available.

Reference Type BACKGROUND
PMID: 17678807 (View on PubMed)

Other Identifiers

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AntalyaTRH 009

Identifier Type: -

Identifier Source: org_study_id